Individual provider Active NPI

Edgar C Gamponia, M.D.

  • Ophthalmology Physician
  • Morgantown, WV
National Provider Identifier
1053487736
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18863 Issued in WV
Practice address
1255 Pineview Dr
Morgantown, WV 26505-2713
Phone
(304) 598-3301
Fax
(304) 599-7346
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18863 WV Primary

Addresses

Primary practice location

1255 Pineview Dr
Morgantown, WV 26505-2713

Mailing address

1255 Pineview Dr
Morgantown, WV 26505-2713
Phone (304) 598-3301

Other identifiers 1

IdentifierTypeStateIssuer
0096473000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address readocs@regionaleye.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051221001066 WV Practitioner - Ophthalmology 1557383254 Reassigns benefits to 1 organization
I20090608000311 MD Practitioner - Ophthalmology 1557383254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Associates IncGroup PAC ID 1456255876, shared by 2 NPIs, 15 clinicians

Practice addresses (Care Compare)

402 Medical Park Dr
Suite 100
Weston, WV 26452-1678
Phone (304) 598-3301

888 Memorial Dr
Oakland, MD 21550-5112
Phone (302) 334-1146

Hospital & facility affiliations

  • Stonewall Jackson Memorial Hospital Company Hospital, Weston, WV, CCN 510038
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40
Cost
51.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18863WVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Associates, Inc. Ophthalmology Current Accepting new patients
Regional Eye Associates, Inc. Ophthalmology Current Accepting new patients
Regional Eye Associates, Inc. Ophthalmology CurrentSince Dec 1, 1997 Accepting new patients
Regional Eye Associates,Inc. Ophthalmology CurrentSince Jul 28, 2022 Accepting new patients
Regional Eye Associates, Inc Ophthalmology CurrentSince Dec 1, 1997 Accepting new patients
Regional Eye Associates, Inc Ophthalmology Past Accepting new patients

Locations

1415 River Ave
Ste A
Cumberland, MD 21502
Phone (301) 722-3500

888 Memorial Dr
Oakland, MD 21550
Phone (301) 334-1016

888 Memorial Dr
Ste 201
Oakland, MD 21550
Phone (301) 334-1146

220 Southview Dr
Bridgeport, WV 26330
Phone (304) 598-3301

110 Cambridge Pl
Bridgeport, WV 26330
Phone (304) 842-4070

1 Physicians Plz
Ste 282
Fairmont, WV 26554
Phone (304) 366-7479

300 S Price St
Kingwood, WV 26537
Phone 3043291400287

1255 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-3301

1255 Pineview Dr
#1
Morgantown, WV 26505

1255 Pineview Dr
#3290
Morgantown, WV 26505

10 Valley St
Ste 201
Petersburg, WV 26847
Phone (304) 257-4555

402 Medical Park Dr
#100
Weston, WV 26452
Phone (304) 269-3929

Interoperability endpoints

  • Direct secure messaging: readocs@regionaleye.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1053487736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-598-3301",
            "fax_number": "304-599-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052713",
            "telephone_number": "304-598-3301",
            "fax_number": "304-599-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMPONIA",
        "first_name": "EDGAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "18863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096473000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "readocs@regionaleye.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Regional Eye Direct Address (CCDAs, Messages, PHI Exchange)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1255 Pineview Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265052713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.